The holder whose full name is LAKE, ERNESTINE,come from SUNMAN IN,hold the Licensed Practical Nurse license(NO.27008193A) which status is Expired.
| Name | LAKE, ERNESTINE |
|---|---|
| License Number | 27008193A |
| License Type | Licensed Practical Nurse |
| License Status | Expired |
| City | SUNMAN |
| State | IN |